DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Semidey, Michelle	DOIID	1217228	NAIC NPN	17113081

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/18/2022		5/31/2025
Active	Non Resident	Agent	Life	7/18/2022		5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/18/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/18/2022	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/18/2022	4/15/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/1/2022	2/13/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/1/2022	2/13/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	11/19/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	11/19/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/2/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	11/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	11/16/2022
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	11/16/2022